Provider Demographics
NPI:1285793596
Name:BAY TREE FAMILY CARE, P.C.
Entity type:Organization
Organization Name:BAY TREE FAMILY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CRANDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-356-5609
Mailing Address - Street 1:214 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:RED BAY
Mailing Address - State:AL
Mailing Address - Zip Code:35582-3861
Mailing Address - Country:US
Mailing Address - Phone:256-356-5609
Mailing Address - Fax:256-356-5611
Practice Address - Street 1:214 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:RED BAY
Practice Address - State:AL
Practice Address - Zip Code:35582-3861
Practice Address - Country:US
Practice Address - Phone:256-356-5609
Practice Address - Fax:256-356-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009957670Medicaid
MS9015789Medicaid
MS9015789Medicaid
51502500Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER